TADIE REPOLL PHILLIPS (NPI# 1346727872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346727872 |
Entity Type | Individual |
Full Name | TADIE REPOLL PHILLIPS |
Practice Address |
1213 Marietta Dr W Mobile AL 36618-2343 |
Practice Telephone | 2516565207 |
Mailing Telephone | 2516565207 |
Enumeration Date | 2018-07-26 |
Last Update Date | 2018-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1213 MARIETTA DR W |
City | MOBILE |
State | AL |
Zip Code | 36618-2343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114319944 | Gina Deering | Pharmacist | 5651 Moffett Rd, Suite C, Mobile, AL 36618 | 2015-03-03 |
1245510403 | Thuy-ngan Thi Duong | Pharmacist | 5651 Moffett Road, Mobile, AL 36618 | 2011-08-19 |
1679852586 | Innovative Prosthetic Care, LLC | Prosthetic/Orthotic Supplier | 1109 Wi-65 Service Rd N, Mobile, AL 36618 | 2011-08-09 |
1649454695 | Louis James Naman | Dentist | 4137 Moffelt Rd., Mobile, AL 36618 | 2007-12-27 |
1235254277 | Amie G Webb | Pharmacist | 5651 C Moffat Rd, Mobile, AL 36618 | 2007-03-20 |
1659431682 | Gerald Edward Berger | Dentist | 5216 Overlook Road, Mobile, AL 36618 | 2006-12-11 |
1780779314 | Tammy Dubuc | Pharmacist | 5651 C Moffet Road, Mobile, AL 36618 | 2006-10-03 |
1245330711 | Dana B Lambert | Pharmacist | 5651-c Moffet Rd Winn Dixie 578, Mobile, AL 36618 | 2006-09-25 |
1861444689 | Michael Carl Madden Sr. | Family Medicine | 7505 Moffett Rd, Mobile, AL 36618 | 2006-05-17 |
1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
Find all providers in zip 36618 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114524261 | David B Bentley | Specialist/Technologist | 1121 Williamsburg Dr, Mobile, AL 36695-3541 | 2020-10-01 |
1417587171 | Matt Benjamin Taylor II | Specialist/Technologist | 3814 Mordecai Ln, Mobile, AL 36608-2008 | 2020-01-22 |
1780155374 | Michael Hlavaty | Specialist/Technologist | 591 Joseph E Gottfriend Dr, Mobile, AL 36688-0001 | 2018-12-08 |
1053863407 | Amy Pinkham | Specialist/Technologist | 900 Downtowner Blvd Apt 416, Mobile, AL 36609-9415 | 2016-11-02 |
1477005288 | Karla Beasley | Specialist/Technologist | 6001 Usa Dr S, Suite 35, Mobile, AL 36688-0001 | 2016-10-27 |
1194093377 | Alyse King | Specialist/Technologist | 591 Joseph E Gottfried Dr, Mobile, AL 36688-0001 | 2011-12-02 |
1245565845 | Daniel Alan Kertis | Specialist/Technologist | 8901 Airport Blvd, Mobile, AL 36608-9503 | 2009-10-15 |
1649487141 | Chad Stefano | Specialist/Technologist | 1209 Mitchell Ctr, Mobile, AL 36688-0001 | 2007-05-16 |
1497967673 | William Carroll | Specialist/Technologist | 5735 College Parkway, Mobile, AL 36613-2842 | 2007-05-03 |
1962560557 | M and J Horn Inc | Specialist/Technologist | 9120 Airport Blvd, Suite F, Mobile, AL 36695 | 2006-12-05 |
Find all providers in MOBILE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.